| NPI | 1336502251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIE CHARTER Secretary 405-314-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| 103G00000X Clinical Neuropsychologist | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 1041C0700X Social Worker, Clinical | |
| 207Q00000X Family Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 208D00000X General Practice | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |